| NPI | 1497030548 |
|---|---|
| Former Name | PAIGE MAURAN BOSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1413) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WY 401T) |
| 152W00000X Optometrist (Licence: SD 740) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2018-06-21 |